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1962039131
LA' SHANDRA HOLMES-RUSSELL
STAFFORD, VA
NPI
1962039131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119008569)
Enumeration Date
2020-03-26
Last Update Date
2020-03-26
Business Address
LA' SHANDRA HOLMES-RUSSELL OTR/L
15 ELM ST
STAFFORD, VA 22554-1607
Phone number: 401-326-4739
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Mailing Address
LA' SHANDRA HOLMES-RUSSELL OTR/L
15 ELM ST
STAFFORD, VA 22554-1607
Phone number: 401-326-4739
Copy
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